Periodic limb movements in sleep and attention deficit hyperactivity disorder: Are they related?
Charissa Pockett1, Valerie Kirk
1Department of Paediatrics, Faculty of Medicine, University of Calgary, Calgary, Alberta.
Insights
Periodic limb movements in sleep (PLMS) and attention deficit hyperactivity disorder (ADHD) share similar symptoms in children. Recognizing PLMS is crucial to avoid misdiagnosing ADHD, as both conditions involve dopamine pathways.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Child Psychiatry
Background:
- Periodic limb movements in sleep (PLMS) is a rare pediatric sleep disorder.
- A recent association has been identified between PLMS and attention deficit hyperactivity disorder (ADHD) in children.
Purpose of the Study:
- To review the literature on the clinical presentations and pathophysiology of ADHD and PLMS in children.
- To highlight the overlap in symptoms and diagnostic considerations between ADHD and PLMS.
Main Methods:
- A comprehensive electronic literature search was conducted using keywords for PLMS and ADHD.
- The search was limited to the pediatric population, with manual review of key articles.
Main Results:
- PLMS and ADHD exhibit similar clinical symptoms in children.
- Both disorders are linked to dopamine production and metabolism and respond to dopaminergic therapy.
- Coexistence of ADHD and PLMS is frequent, increasing the risk of misdiagnosis.
Conclusions:
- Daytime hyperactivity, impulsivity, inattentiveness, and poor school performance can be symptoms of both ADHD and PLMS.
- Physicians should consider PLMS in the differential diagnosis for children presenting with ADHD symptoms.
Background:
Periodic limb movements in sleep (PLMS) is an uncommon sleep disorder in the paediatric population. Recently, an association between PLMS and attention deficit hyperactivity disorder (ADHD) in children was identified.
Objective:
To review the current literature and describe the common clinical presentations and pathophysiology related to both ADHD and PLMS.
Methods:
A comprehensive, electronic medical literature review was performed using search terms related to both PLMS and ADHD, with age limits applied to select for the paediatric population. A manual review of these articles was performed to identify other key reports relating to the topic.
Results:
The symptoms of PLMS in children are very similar to those of ADHD. Both disorders are related to dopamine production and metabolism, and both respond to dopaminergic therapy. The coexistence of ADHD and PLMS is reported to occur with some frequency. The potential for misdiagnosis of ADHD in a child with PLMS exists, given the similar clinical presentations. Recommendations regarding the identification of children undergoing evaluation for possible ADHD who may benefit from polysomnography are suggested.
Conclusions:
Both ADHD and PLMS may present with daytime symptoms of hyperactivity, impulsivity, inattentiveness and decreased school performance. Physicians should consider PLMS in the differential diagnosis of a child with ADHD symptoms.
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